Ultrasound-guided injections have become an essential part of modern musculoskeletal (MSK) practice. For doctors, physiotherapists, and advanced practitioners who already have a foundation in basic ultrasound skills, the next step is to expand into more complex procedures. That is where our advanced ultrasound injection course comes in. In collaboration with SonoSkills, I now teach [...]
Nerve entrapment from scar tissue, adhesions, or direct trauma causes burning pain in the area supplied by the nerve. Nerve hydrodissection injection is an innovative technique used to treat nerve entrapments. Guided by ultrasound, this procedure involves injecting fluid around a nerve to free it from surrounding scar tissue or compressed tissues. Nerve hydrodissection [...]
We use cortisone injections as pain-relieving treatments for arthritis and tendonitis. Cortisone directed to a joint or tendon reduces inflammation and improves pain and function. How long does a steroid shot last, and can we do anything to ensure the effect lasts longer? What is a steroid shot? A steroid shot is a type [...]
Fluid on the Knee, also known as a knee effusion or "water on the knee," is a painful condition resulting from the buildup of fluid in and around the knee joint. Generally, we treat fluid on the Knee with simple strategies such as ice, medication, and a compression wrap. However, sometimes we must drain [...]
Medial collateral ligament tears cause pain and swelling inside the knee. Generally, MCL injuries settle with a period of bracing and rehab. However, in some cases, the healing of an MCL tear is complicated by calcification of MCL, also known as Pellegrini Stieda syndrome. What is a Pellegrini-Stieda lesion, and how do we treat [...]
Platelet-rich plasma therapy, also known as PRP injection, is a relatively new treatment option for common musculoskeletal conditions, including arthritis and tendonitis. However, numerous practitioners offer various PRP treatments. As a person thinking about Platelet-rich therapy for arthritis or tendonitis, which one would you choose? And does a more expensive system mean a better [...]
We use a Durolane injection to treat a common cause of arthritis, osteoarthritis. This condition affects the hips, knees, shoulders, thumbs, and other joints. Generally, the treatment of osteoarthritis consists of modifying lifestyle factors, such as exercise and weight loss, combined with medications, including oral or injectable agents. Some treatments for osteoarthritis are more [...]
The tennis leg is a strain of one of the calf muscles called the medial head of the gastrocnemius. A calf muscle tear occurs when the muscle is pushed to its limit, leading to tearing. So, how do we diagnose tennis leg, and what do we do about it? Anatomy of calf muscles [...]
Should you have an ultrasound-guided cortisone injection? Most doctors perform injections 'blind.' This means the doctor must know the anatomy to find the right spot. More commonly, some doctors are performing ultrasound-guided cortisone injections. Why do an ultrasound-guided cortisone injection, who should you get to do it, and how much should it cost in [...]
Injections are essential in treating joints and tendons. Common injections include cortisone, hyaluronic acid, and platelet-rich plasma. We think hitting the target is critical to getting a good effect. Unfortunately, hitting a target is easier than it seems. Therefore, we use an ultrasound-guided injection to improve our hit rate. We have outlined the top [...]
